重症监护室(ICU)再入院:一项混合方法的系统回顾

Thandar Soe Sumaiyah Jamaludin, Nur Syahirah Suhaimi, Nik Hartini Mohd Noor, M. S. Nurumal
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引用次数: 2

摘要

目的:本综述旨在确定患者在24至72小时内再次入住重症监护病房(ICU)的相关问题。方法:采用混合方法对2010 ~ 2020年发表的16篇文献进行系统综述。结果:发现3个主题与ICU再入院相关;预测因素、因素和建议。预测指标为急性生理慢性健康评估(APACHE)、转移稳定性和工作量指数(SWIFT)、治疗干预评分系统(TISS)等。再ICU的影响因素为工具评分较高、病情严重程度、出院时间、血流动力学监测及出院前患者病情。减少再入院的建议有:ICU随访计划、新入职护士应得到资深护理人员的支持、改变ICU出院流程、引入中间病房。结论:本综述结果建议,有必要制定ICU护士主导的随访计划,使用半重症监护病房,并对72小时内再入院ICU的患者实施危重监护过渡计划。因此,应努力减少24 ~ 72小时内的ICU再入院,以提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive Care Unit (ICU) Readmission: A Mixed- Method Systematic Review
Objective: This review aimed to determine the issue associated with patient’s readmission to intensive care units (ICU) within 24 to 72 hours. Methods: A mixed-method systematic literature review was carried out with 16 articles which published within the year of 2010 to 2020. Result: Three themes were found related to ICU readmission; predictors, factors, and recommendation. The predictors were Acute Physiological Chronic Health Evaluation (APACHE), Stability and Workload Index for Transfer (SWIFT), Therapeutic Intervention Scoring System (TISS) and others. The factors contributing to ICU readmission which are higher score level of tools used, severity of illness, discharge time, hemodynamic monitoring and patient’s conditions before discharge. The recommendations to reduce the ICU readmission from this review were ICU follow-up program, new staff nurses should be supported by senior staff, change of ICU discharge process, and introduce an intermediate unit. Conclusion: This review findings recommended that there is a need for a follow-up program by ICU nurse-led, the use of semi-intensive units and implementing transition programs of critical care for patients readmitted to ICU within 72 hours. Thus, more effort should be made to reduce the ICU readmission within 24 to 72 hours to improve the quality of patient’s life.
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